Provider Demographics
NPI:1760637706
Name:PRECISION MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PRECISION MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTON-WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-265-0445
Mailing Address - Street 1:1645 W PEMBROKE AVE STE 13
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1918
Mailing Address - Country:US
Mailing Address - Phone:757-265-0445
Mailing Address - Fax:757-265-0446
Practice Address - Street 1:1645 W PEMBROKE AVE STE 13
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-1918
Practice Address - Country:US
Practice Address - Phone:757-265-0445
Practice Address - Fax:757-265-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010172845Medicaid
VA5288380002Medicare NSC